Healthcare Provider Details

I. General information

NPI: 1720032782
Provider Name (Legal Business Name): FINNBOGI O KARLSSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 04/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 N MAIN ST
HARRISON AR
72601-2914
US

IV. Provider business mailing address

PO BOX 36
PEEL AR
72668-0036
US

V. Phone/Fax

Practice location:
  • Phone: 870-688-5533
  • Fax: 870-436-2603
Mailing address:
  • Phone: 870-688-5533
  • Fax: 870-436-2603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberE-4172
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: